Grace, Heather Louise

Grace, Heather Louise is an sole proprietor health care provider with primary practice located at 1563 Piedmont Rd , Somerset PA 15501-4625. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Grace, Heather Louise can be contacted via phone (814) 279-4807.

Contact Information

Primary practice address
1563 Piedmont Rd Somerset PA 15501-4625
Fax:
Website:

Health care specialties

Profile Details

NPI number 1184070716
LBN Legal business name Grace, Heather Louise
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2016
Last updated May 12th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184070716 NPPES
Pennsylvania MEDICAID 225X00000X

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